Organization
ADVANTAGE GERIATRIC CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEDIEH DAVANLOO M.D. (OWNER)
(817) 428-7880
Entity
Organization
Contact information
Practice address
305 OAKLAWN DR, COLLEYVILLE, TX 76034-7576
(817) 428-7880
Mailing address
305 OAKLAWN DR., COLLEYVILLE, TX 76034-7576
(817) 428-7880
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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